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SECOR Internattonal Inc. <br /> WATER SAMPLE FIELD DATA SHEET <br /> OJECT# 7-Eleven Store#19976 PURGED BY Z !/ WELL 1 D _ MW-.A <br /> CLIENT NAME 7-Eleven,Inc SAMPLED BY SAMPLE I D MW- .3 <br /> LOCATION 1399 North Main Street QA SAMPLES None <br /> DATE PURGED -7 03 START(2400hr) f'l �- 6 END(240011r) 111 -30 <br /> DATE SAMPLED 03 SAMPLE TIME(2400hr) <br /> SAMPLE TYPE Groundwater X Surface Water Treatment Effluent Other <br /> CASING DIAMETER 2 X 3 4- 5 6" 8 Other <br /> Casing Volume (gallons per foot) (0 17) (0 38) (0 67) (1 02) (1 50) (2 60) ( ) <br /> DEPTH TO BOTTOM(feet)= _ OL •S2 CASING VOLUME(gal) <br /> DEPTH TO WATER(feet)= CALCULATED PURGE(gal) <br /> WATER COLUMN HEIGHT(feet)_ ACTUAL PURGE(gal) 0 <br /> FIELD MEASUREMENTS <br /> DATE TIME VOLUME TEMP CONDUCTIVITY pH COLOR TURBIDITY <br /> (2400br) (gal) (degrees F) (umhos/cm) (units) (visual) (NTU) <br /> !/ 03 Cur T.0 !c8"6 Lr del o wr+ 5'G,crsr- <br /> r SAMPLE INFORMATION <br /> SAMPLE DEPTH TO WATER f /- SAMPLE TURBIDITY <br /> 80%RECHARGE &--'T'ES NO ANALYSES BTEX,TPHg,5 Oxygenates Via EPA 8260B <br /> ODOR dN D SAMPLE VESSEL I PRESERVATIVE HCL <br /> PURGING EQUIPMENT SAMPLING EQUIPMENT <br /> Bier Pump Bailer(Teflon) Bladder Primp Bailer(Teflon) <br /> Ceutrifugal Pump Bailer(PVC) Centrifugal Pump X Bailer ( PVC or X disposable) <br /> X Submersible Pump Bailer(Stainless Steel) Submersible Pump Bailer(Stainless Steel) <br /> Penstalic Pump Dedicated PensWic Pump Dedicated <br /> Other Other <br /> Pump Depth <br /> WELL INTEGRITY LOCK# o _ <br /> REMARKS o <br /> c� <br /> Page <br /> SIGNATURE <br />